Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Safe Harbour Living, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1316246986

Safe Harbour Living, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3784 Fremont Dr
Ellenwood, GA 30294-6660
Phone: (770) 474-4472
Fax: (770) 972-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 031013099 (GA)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X · Licence 031013099 (GA)

Record details

NPI number1316246986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Talis Burrell — Ceo · (770) 474-4472
NPI enumeratedMarch 22, 2011
Last updated in NPPESMarch 22, 2011
Mailing address3784 Fremont Dr, Ellenwood, GA 30294-6660

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